Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics (대한후두음성언어의학회지)

The Korean Society of Laryngology, Phoniatrics and Logopedics. (대한후두음성언어의학회)
권호 표지
DOI QR코드

DOI QR Code

Repair of Tracheoesophageal Fistula under Laryngeal Microsurgery Approach: Case Report and Literature Review

기관식도 누공에 대한 후두미세수술 접근하 재건술: 증례 보고 및 문헌 검토

  • Han, Mun Soo (Department of Otorhinolaryngology-Head and Neck Surgery, Korea University Ansan Hospital, Korea University College of Medicine) ;
  • Yum, Gunhwee (Department of Otorhinolaryngology-Head and Neck Surgery, Korea University Ansan Hospital, Korea University College of Medicine) ;
  • Oh, Kyung Ho (Department of Otorhinolaryngology-Head and Neck Surgery, Korea University Ansan Hospital, Korea University College of Medicine) ;
  • Kwon, Soon Young (Department of Otorhinolaryngology-Head and Neck Surgery, Korea University Ansan Hospital, Korea University College of Medicine)
  • 한문수 (고려대학교 의과대학 안산병원 이비인후-두경부외과학교실) ;
  • 염건휘 (고려대학교 의과대학 안산병원 이비인후-두경부외과학교실) ;
  • 오경호 (고려대학교 의과대학 안산병원 이비인후-두경부외과학교실) ;
  • 권순영 (고려대학교 의과대학 안산병원 이비인후-두경부외과학교실)
  • Received : 2020.07.20
  • Accepted : 2020.09.16
  • Published : 2020.12.30
Download PDF
⟨ Previous Next ⟩

Abstract

Patients with tracheoesophageal fistula show signs of aspiration, possibly leading to pneumonia, which could be fatal to bed-ridden patients. Tracheoesophageal fistula occurs as a complication of intubation, tracheostomy tube insertion and nasogastric tube insertion. Possible etiology is pressure and ischemic necrosis given by tracheostomy tube and nasogastric tube to trachea and esophagus; or in some cases, larynx and hypopharynx. Meanwhile, for repair of tracheoesophageal fistula, transcervical approach can be considered but takes relatively long operation time and is not appropriate for patients with underlying diseases. We report a case of tracheoesophageal fistula complicated several years after tracheostomy tube and nasogastric tube insertion who came to medical attention with signs of aspiration. Authors successfully performed repair of the fistula under laryngeal microsurgery approach without skin incision and dissection, and thereby report the experience with review of literature.

Keywords

References

  1. Couraud L, Ballester MJ, Delaisement C. Acquired tracheoesophageal fistula and its management. Semin Thorac Cardiovasc Surg 1996;8(4):392-9.
  2. Leboulanger N, Garabedian EN. Laryngo-tracheo-oesophageal clefts. Orphanet J Rare Dis 2011;6:81. https://doi.org/10.1186/1750-1172-6-81
  3. Paraschiv M. Tracheoesophageal fistula--a complication of prolonged tracheal intubation. J Med Life 2014;7(4):516-21.
  4. Johnston DR, Watters K, Ferrari LR, Rahbar R. Laryngeal cleft: evaluation and management. Int J Pediatr Otorhinolaryngol 2014;78(6):905-11. https://doi.org/10.1016/j.ijporl.2014.03.015
  5. Shimizu K, Uno A, Takemura K, Ashida N, Oya R, Kitamura T, et al. A case of adult congenital laryngeal cleft asymptomatic until hypopharynx cancer treatment. Auris Nasus Larynx 2018;45(3):640-3. https://doi.org/10.1016/j.anl.2017.09.004
  6. Thornton M, Rowley H, Conlon BJ, Russell JD. Type I laryngeal cleft: late presentation. J Laryngol Otol 2001;115(10):821-2. https://doi.org/10.1258/0022215011909053
  7. Thomas AN. The diagnosis and treatment of tracheoesophageal fistula caused by cuffed tracheal tubes. J Thorac Cardiovasc Surg 1973;65(4):612-9. https://doi.org/10.1016/S0022-5223(19)40744-7
  8. Muniappan A, Wain JC, Wright CD, Donahue DM, Gaissert H, Lanuti M, et al. Surgical treatment of nonmalignant tracheoesophageal fistula: a thirty-five year experience. Ann Thorac Surg 2013;95(4):1141-6. https://doi.org/10.1016/j.athoracsur.2012.07.041
  9. Pezzettigotta SM, Leboulanger N, Roger G, Denoyelle F, Garabedian EN. Laryngeal cleft. Otolaryngol Clin North Am 2008;41(5):913-33. https://doi.org/10.1016/j.otc.2008.04.010